Individual provider · Type 1 NPI

Padmaja Pam Polavarapu, MD

Specialist · Bradenton, FL

NPI number 1376536862 Active

Practice location

1810 59th St W
Bradenton, FL 34209-4630

Call (941) 792-1412 Map

Fax (941) 795-0753

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME108341 (FL)
Internal Medicine Physician 207R00000X17433 (WV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376536862

Padmaja Pam Polavarapu, MD's National Provider Identifier is 1376536862, issued on Aug 30, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bradenton, FL. The record was last updated on Mar 13, 2017.